strategic insights for value based payments

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Copyright© 2015 HealthQx. All Rights Reserved Strategic Insights For Value Based Payments 1 Informing Bundled Payment & Accountable Care Strategies Through Actionable Intelligence

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Copyright©  2015    HealthQx.  All  Rights  Reserved

Strategic  Insights  For  Value  Based  Payments  

1

Informing Bundled Payment & Accountable Care Strategies Through Actionable Intelligence

Copyright©  2015    HealthQx.  All  Rights  Reserved

1) Identify  The  Right  Episodes  Of  Care  (EOC)

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Health  plans  can  choose  the  right  episodic  opportunities  for  their  Value  Based  Payment  (VBP)  initiatives  by  understanding  the  relationship  between  an  episode’s  frequency,  costs  and  variations.  

Your  Health  Plan  has  the  ability  to  rapidly  identify  and  continue  

targeting  the  right  EOCs  that  align  with  your  goals  to  improve  

quality  and  provide  access   to  more  patient  centric  care  while  reducing  costs.

Copyright©  2015    HealthQx.  All  Rights  Reserved

2. Engage  The  Right  Providers  – With  The  Right  Information

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Successfully  scaling  VBP  initiatives   requires  the  ability   to  collaboratively  engage  the  right  providers  in  contract  discussions  to  clearly  define  the  risks,  incentives  and  performance   targets  for  the  programs.  

Your  Health  Plan  has  the  actionable  provider  network  intelligence   to  quickly  identify,  engage  and  collaborate  with  the  providers  that  can  optimize  the  service  delivery  of  your  VBP  

initiative.  

Copyright©  2015    HealthQx.  All  Rights  Reserved

3. Enable  Flexibility  To  Get  To  The  Right  Approach

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The  ability   to  centralize  VBP  program  management  across  multiple   initiatives  enables  improved  flexibility   to  define:  episodes,  networks,  care  models  and  payment  methods.  

Your  Health  Plan  has  the  capabilities  to  

change  the  design  of  VBP  initiatives  to  account  for  your  

organization’s  unique  environment  and  

operational  processes  to  improve  the  success  of  your  VBP  initiatives.  

Copyright©  2015    HealthQx.  All  Rights  Reserved

4. Improve  Your  Value  Based  Strategy  Through  The  Right  Insights

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In  order  to  continuously  improve,  health  plans  need  rapid  access  to  information  to  enhance  value  based  designs,  to  better  engage  with  their  providers  and  scale   reimbursement  operations.  

Your  Health  Plan  has  strategic  visibility  to  

quickly  understand  the  end-­‐to-­‐end  

performance  of  multiple  value  based  initiatives  and  make  

adjustments   as  the  VBP  market  continues  to  

mature.  

Copyright©  2015    HealthQx.  All  Rights  Reserved

Strategic  Insights  For  Value  Based  Payments  

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If  you  would  like  to  contact  us,  please  send  us  an  email  at  [email protected]  give  us  a  call  at  (610)  766-­‐7118.